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Home My WebLink About0303 ARROWHEAD DRIVE 343 G�'�2-a-ur��v� �--- - - Complaint Number. 1755 :k'j�Take&b,4: `BU_ILDING SERVICES .°= Date: 5 11 00 £` ., Map/parcel. Referred to: BUILDINGTM ^ _ r SUBJECT OF_COMPLAINT„ a ^ , . A; 51 - Business/Occupant Name: Number 303 Street:y ARROWHEAD DR. 01 Villaae: IXAN IS COMPLAINT'INFORMATION e _ Complainant's-Name:-' ANONY Address: _ Telephone Number: = -4 rri_ Complaint Description. 'RE-MODEL,—NO PERMITS __. _ Actions'Taken/Results: REFER TO R.S, _ Z173. Date Closed: 44Jj- _ s - _ r w 3- Town of Barnstable *Permitlo Expires 6 months om issue d w • x Regulatory Services Fee 13AMSTA13M + MAS&1639. Richard V.Scali,Interim Director Eve" Building Division � U ' Tom Perry,CBO,Building Commissioner MAR 16 200 Main Street,Hyannis,MA 02601 B fl' 201� www.town.bamstable.ma.us 1 ®WN ®F BAR 9.�,� LE Office: .508-862-4038 Fax: 508-�71 �-6230� EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY - Z `\ Not Valid without Red X-Press Imprint Map/parcel Number G V Property Address f _ [pesidential Value of Work L1,X G d Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address C 46V/C116L 41-N Contractor's Name /G�a 1-C L:C t' tl �`/ Telephone Number � Home Improvement Contractor License#(if applicable) �PQ Email: ��2 66 q W 7 61''y //7,-r Construction Supervisor's License#(if applicable) P311orkman's Compensation Insurance 9;1 ck one: am a sole proprietor ❑ I am the Homeowner F-h-I have Worker's Compensation Insurance Insurance Company Name I,-,G J-6eA-L Workman's Comp.Policy# 10t.o- �_6 0 0 3 0 5 3 L! Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ) h RWRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ��' ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value' (maximum.35)#of windows { #of doors: R. Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required_ Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. - SIGNATURE: ; T:\KEVfN__D\Building Changes\EXPRESS PERMIT IEXP SS.doc Revised 061313 2 1e Commonwealth of Massacliusetfs Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 wive.niassigov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Busines&/Organiaation(ludividual): ()�` 'J�i �i� ✓� Address: City/State/Zip: �vl C'!/I/� C3 u�G Phone 4- `�() Are u an employer?Check the appropriate box: Type of project(required): 1 tam a employer with .? 4. ❑ I am a general contractor and.I : have hired the sub-contractors 6- ❑New construction employees(full and/or part-time). - 2.❑ I am a sole proprietor or partner- listed on the attached sheet, 7. ❑Remodeling ship and have no employees These subcontractors have S. Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp.insurance_= required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself[No workers'comp. right of exemption per IVIGL 12.0 Roof repairs insurance required.]i c. 152, §1(4),and we have no • employees_[No workers' 11P Other comp.insurance requires] *Any applicant that checks box;;1 must also fill out the section balm,showing their woriters'compensation policy information_ Homeowners who subunit this affidavit indicating they are doing all wash and then hire outside contractors must submit a new affidavit indicating such. lcoutr=mrs that check this box uanst attached an additional sheet showing the name of the sab-coummrs and state whether or not those entities here employees. If the stub-contractors have employees,they must provide their workers'comp.policy number. I ant an employer that is proi dirig nrorkers'coniperrsatiort insurance for my eniplo}'ees. Below is tyre policy acid job site irfforntatlon. Insurance Company Name: G aL Policy#or Self-ins-Lic.#: Q �-(� 7�3 "63 Expiration Date: I �p Job Site Address: (5 {�-d Ci /State/Gil C l7 �'t 6'! �= C� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine., of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification_ I do hereby certify itiider the pty ns R nd rialties of perjnry hat the a formation prodded above k lute yard/correct/ -Si tore: Date: ��C ( C i /`� Phone#: O ' Official use only. Do not write in this area,to be completed by city or tovrr official, ' City or Toua: Permit/License# -Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CityfTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other ` Contact Person: Phone#: AC6R P _ CERTIFICATE OF LIABILITY INSURANCE ATE(MMIDDff YYY) .i 3/5/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NA,, ' Berkley Assigned Risk Services McShea Insurance n'No.EM: 800634-4589 ('C.No): 866 215-8118 1550 Falmouth Rd RT 28 Ste 2 E-MAIL A Do RE : PolicyServices@berkleyrisk.com Centerville, MA 02632 INSURERS AFFORDING COVERAGE NAIC# INSURER A: 195 INSURED INSURER B: Richard Cazeault Jr INSURER C: 198 Five Corners Road INSURER D: Centerville, MA 02632 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF 'POLICY EXP LIMITS LTR INSR WVD (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY AUTOMOBILE LIABILITY $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TOR Y LIMITS DER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ 500,000 A OFFICE/MEMBER EXCLUDED? El N/A WC-20-20-003093-03 02/04/2015 02/04/2016 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES-(Attach ACORD 101,Additional Remarks Schedule, if more space is required) Coverage Election Category Elect.Status Name State(s) All Entities/Locations Sole Proprietor Exclude Richard Cazeault Jr MA Cazeault Jr 198 Five Corners Road Centerville, MA 02632 CERTIFICATE HOLDER CANCELLATION SHOULDANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN t ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable AUTHORIZED REPRESENTATIVE Building Dept 200 Main St Hyannis, MA 02601 Signature: _. ACORD 25(2010/05) BRAC 3139 c�L �e t�ayrrnra�errlerell/o�_ � , - �\ Office of Consumer Affairs g Business R ��tcrc rutel./.i 14- fiQME 1MRROVEMENT CON egnlation License or registration 7nACTOR valid for indi"dul use only Registration: 168607 before the expiration I i xpiraGon Type: date. If found c 3/812017 < DBAEce of_Consunter Agairs return to: CAZEAULT ROOFING&f2EPAIRS 10 park Plazaand$usness Regu►ahon -Suite S170 r, Boston,MA 02116 RICHARD CAZEAULT 198 FIVE CORNERS RD r CENTERVI Undersecretarya of valid w€ out si _. : . gnatyre has°Se'dElltlAsi�& - + �tC¢.O �fffllf!C$.P"evwi-jops and Construction Supe sysor — _ — :. �CEse: CS-I00393. RICHARD P CAZWAIIL". ` ..• 198 Jwe Corners Roa&IN Centerville MA Oum '_. Commissioner • R CA ZEAULT ROOFING & REPAIRS PROPOSAL Proposal No. 15-110 March 10,2015. To: Micheal Yeomans, Mikes Powerhouse Work to be performed at 303 Arrowhead Drive Hyannis MA . We hereby propose to furnish the materials and perform the labor necessary for the completion of: NEW ROOF 1. Remove existing shingle roof 2. Install new aluminum vented drip edge 7 3. Install Ice&Water barrier entire left side 4. Install Ice and Water barrier 72"up bottom edge of right side 5. Install 18"ice and water and drip edge along rake edge 6. Cover remainder of roof with 30 lb felt 7. Re-roof with GAF 30 yr architectural shingle 8. Install Harvey ridge vent 9. Install ice and water around chimney 10. Flash all pipes and penetrations ; 11. Remove all rubbish from project r Labor and Materials$4,050 All material is guaranteed to be as specified,and the above work to be performed mi accordance with the specifications and completed in a substantial workmanlike manner for the sum of Four Thousand and Fifty Dollars $4,050 with payment as follows: One Thousand Three Hundred and Fifty Dollars$1,350 due with acceptance of proposal One Thousand Three Hundred and Fifty Dollars$1,350 due at job start, , One Thousand Three Hundred and Fifty Dollars$1,350 due upon comp o Respectfu s 1its„ . f _ Richard .Eazeaul ,Jr HIC# 168607 CSL#100393 198 Five Corners Road Workmans Comp and Liability with Centerville,MA . 02632 Mcshea Ins Ost'